Treatment of proliferative diabetic retinopathy
Common Questions and Answers about Treatment of proliferative diabetic retinopathy
diabetes
You need to clarify her problem. An infection "endophthalmitis" after a vitrectomy is a huge complication and if ANY vision is saved its a triumph. It doesn't like she had that. All such operations are treated with antibiotics to reduce the risk of infection.
After 20 years almost all people with type 1 diabetes have some retinopathy.
I'm not sure Retinopathy can be reversed once the damage is done, but it's believed it can be prevented by good control. 'Nonproliferative retinopathy' is when it's in it's beginning stages and if diagnosed early, treatment might be able to stop the progression. 'Proliferative retinopathy' is when damage has already happened, but it can often times be brought under control with Laser treatments.
That is done for retinal neovascularization and large areas of non-perfusion which in tern is almost always diabetic proliferative retinopathy. If your retina was 'pierced" (strange term except when speaking of external trauma) is assume you have a retina tear or detachment. That requires "focal therapy" and yes a dark sport/light spot is often projected 180 degrees opposite the laser treatment and may last for several months. a PRP is 800-1200 or so laser spots.
The standard treatment for proliferative diabetic retinopathy is pan retinal photocoagulation. Loss of vision is after laser is extremely rare.
Is the elevated pressure in the eye being treated with glaucoma drops?
Dr. O.
Your story is very common almost normal for treatment of proliferative diabetic retinopathy PDR . First of all your FA, OCT and eye exam will not be normal. You have diabetic retinopathy almost assuredly background DR and your PDR is inactive. Laser doesn't "cure" you it can just for a time stop progression. Laser works by killing tissue and creating scars so you have laser marks and scars inside your eye.
Smoking is horrible for diabetes and a diabetic that smokes regularly for years it taking 5-10 years off their life expectancy. Proliferative diabetic retinopathy is not a common cause of RD. It mainly causes hemorrhage within the eye. If it does cause RD it is ually different than the regular RD and is called traction RD. In any case smoking for a short period of time say a month or two will not cause PDR or PVR.
My detachment was out of blue. I have myopia but not diabetic. Sorry if I sound naive but I assume what I had was not “diabetic proliferative retinopathy & vitreous hemorrhage “...as I am not diabetic. Out of curiousity why is it not allowed for this specific type?
A retinal detachment can also be repaired with a scleral buckle, as long as scar tissue called PVR (proliferative vitreo-retinopathy) is not pulling the retina off; in this case, a vitrectomy is needed to remove the scar tissue.
If you just have telangiectasias then perhaps the possible complications are not as grave as this. If you have proliferative diabetic retinopathy, it could be more serious. In the end, you haven't given us enough information to give a clear answer.
diabetic proliferative retinopathy, retinal tear, retinal detachment, blockage of the main veins in the eye.
This is VERY important.
Only Lucentis has been approved for ophthalmic use and only for AMD NOT diabetic retinopathy. Although, these drugs seem to help diabetic retinopathy patients, they have yet to be FDA approved.
Unfortunately the only options available to you are to pay out of pocket for the Avastin (see if your Dr.'s office can work out a payment plan) or go with the laser.
Opthalmological examination were carried out before the start of treatment and every month after initiation of treatment. RT-PCR was done after 24 weeks to detect responders and non responders to treatment.
Results: The ocular examination during treatment period were normal except for the retinopathy. Retinopathy occurred in 8 of 22 patients with an overall percentage of 36%. Non-responders (7/8) were at increased risk of developing retinopathy.
You've asked this question before. Proliferative diabetic retinopathy treated with pan retinal photocoagulation is DIFFERENT that diabetic macular edema. The type laser is different. So you actually have two types of diabetic disease and your eye MD believes that the maculopathy needs laser there's no need to doubt him/her. Diabetes is a progressive disease and you may well need more laser for PDR or DME in the future. Meticulous control of your diabetes (A1C less than 7.
The presence of more than eight cotton-wool spots has been associated with a higher risk of the more severe form of diabetic retinopathy known as proliferative diabetic retinopathy.
I need to know if lazer treatments for diabetic retinopathy will cause dimming of the eyes? Everytime I have a treatment my sight get dimmer. I need to know if this is normal.
I am 36 weeks pregnant and have developed retinopathy in my left eye. I would love to hear about other diabetic women and their pregnancy experiences since everyone I know has no idea what I am talking about. Please give me some advice, support, whatever I am kind of freaking out. My dr. says delivery could cause blindness.
Probable due to proliferative vitreo-retinopathy (PVR), the retina re-detached and was re-attached after a vitrectomy with silicon oil injection. Silicon oil is usually removed when the retina is felt to be securely re-attached but in a small percentage of cases it can re-detach after silicon oil removal. This is what unfortunately happened in your case and necessitated re-injection of oil along with a cataract extraction.
These changes in the cells of smooth muscle lineage play a key role in the development of both atherosclerosis and glomerulosclerosis. In diabetic retinopathy, damage and altered growth of retinal capillary endothelial cells is the major pathophysiological insult leading to proliferative lesions of the retina. Thus, the endothelium emerges as a key target organ of damage in diabetes mellitus; this damage is enhanced in the presence of hypertension.
The angiograms are of the right eye. Another cause of vision loss with diabetic retinopathy is macular ischemia from loss of capillary blood flow. It sounds like your doctors are doing the right stuff for you. Stay the course and hopefully your vision will recover. Best wishes,
Timothy D. McGarity, M.D.
Diabetics with high uncontrolled blood sugars can get diabetic retinopathy. When your vision starts to change, it is already severe. If left untreated diabetic retinopathy will keep getting worse. An Ophthalmologist can detect retinopathy after conducting a thorough eye exam.
PVR = proliferative vitreo-retinopathy. Usually caused by retina not getting enough blood and abnormal blood vessels develop that cause scarring and bleeing into the eye. Most common cause is diabetes. ERM is membrane developing on the surface of the retina, generally not a problem unless its over the macula. they are different problems PVR can lead to blindness but ERM can't.
In studies including a significant number of diabetic patients [5,7] diabetes mellitus has also been associated with retinopathy. Furthermore, improvement of retinopathy is delayed in hypertensive and diabetic patients after ending treatment [7]. This relationship emphasizes that IFN-induced retinopathy can result from physiopathological mechanisms in common with other retinopathies related to microvascular abnormalities.
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